Top 10 largest DSOs headed into 2025

The top 10 largest DSOs in the U.S. support more than 6,800 dental offices combined.

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Here are 10 of the largest DSOs and MSOs in the U.S. by number of affiliated or supported dental practices.

Contact Ariana Portalatin at aportalatin@beckershealthcare.com with questions or updates for this list.

1. Heartland Dental — More than 1,700 practices 

2. The Aspen Group — More than 1,300 practices

3. PDS Health — More than 1,000 practices

4. Smile Brands — More than 600 practices

5. MB2 Dental — More than 700 practices

6. Sonrava Health — nearly 600 offices

7. Affordable Care — More than 450 practices

8. Smile Doctors — More than 450 practices

9. Dental Care Alliance — More than 400 practices

10. Great Expressions Dental Centers — 246 practices

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